Zhang Jie
Department of Neurology, Neuromedical Center, Aviation General Hospital, Beijing 100012, China.
World J Clin Cases. 2023 Jan 16;11(2):434-440. doi: 10.12998/wjcc.v11.i2.434.
Most of the first symptoms of avian influenza are respiratory symptoms, and cases with occipital neuralgia as the first manifestation are rarely reported.
A middle-aged patient complaining of paroxysmal pain behind the ear was admitted to our hospital. The patient's condition changed rapidly, and high fever, unexpected respiratory failure, and multiple organ failure developed rapidly. The patient was diagnosed with H7N9 avian influenza based on etiology.
We believe that the etiology of occipital neuralgia is complex and could be the earliest manifestation of severe diseases. The possibility of an infectious disease should be considered when occipital neuralgia is accompanied by fever. Avian influenza is one of these causative agents.
大多数禽流感的首发症状为呼吸道症状，以枕神经痛为首发表现的病例鲜有报道。
一名主诉耳后阵发性疼痛的中年患者入住我院。患者病情迅速变化，很快出现高热、意外性呼吸衰竭和多器官功能衰竭。根据病因，该患者被诊断为H7N9禽流感。
我们认为枕神经痛病因复杂，可能是严重疾病的最早表现。当枕神经痛伴有发热时，应考虑感染性疾病的可能性。禽流感是其中的致病因素之一。
